Insurance Follow Up Rep

CHI Health Clinic; Omaha (NE); On-site; USD 42,000 - 62,000; Full time

Job summary

CHI Health Clinic is seeking an Insurance Follow Up Rep to support revenue cycle management by resolving unpaid insurance balances and denials. You will interpret EOBs and remittance advice to ensure accurate reimbursement and uphold compliant, efficient billing practices.

You will navigate commercial and government payers, manage queues, and escalate complex disputes to maintain financial health of the facility.

Qualifications

• Two years of revenue cycle or related work experience required.
• Experience with CPT and ICD coding.
• Ability to maintain confidentiality in a fast-paced medical billing environment.

Responsibilities

• Manage queues to prioritize unpaid insurance accounts receivable and secure appropriate reimbursement.
• Research denial trends and resubmit claims with supporting documentation.
• Update patient accounts accurately in billing system.
• Identify recurring billing issues and escalate complex disputes as needed.
• Provide staff training to rectify process gaps and improve workflows.

Skills

Revenue cycle

CPT coding

ICD coding

Attention to detail

Education

High School GED or equivalent

High School Graduate

Medical billing certificate

Job description

Job Summary and Responsibilities

As our Insurance Follow Up Rep, you will play a vital role in our revenue cycle management team, serving as a key advocate for accurate billing and reimbursement. You will be responsible for navigating the complexities of commercial and government health insurance payers to resolve outstanding balances and non-coding denials. By leveraging your expertise in Explanation of Benefits (EOB) and remittance advice interpretation, you will ensure that our healthcare facility maintains financial health while upholding the highest standards of professional integrity and regulatory compliance.

Every day you will manage work queues to prioritize unpaid insurance accounts receivable, utilizing phone, online portals, and written correspondence to secure appropriate reimbursement. Your daily workflow will involve researching denial trends, resubmitting claims with necessary supporting documentation, and accurately updating patient accounts within our billing system. You will also provide essential support by identifying recurring billing issues, conducting staff training to rectify process gaps, and escalating complex claim disputes to ensure timely resolution.

To be successful in this role, you will possess a strong background in revenue cycle operations, coupled with a deep understanding of CPT and ICD coding. We are looking for a detail-oriented professional who excels at critical thinking and can effectively communicate with insurance representatives to advocate for payment. If you have two years of relevant experience, a commitment to data accuracy, and the ability to maintain confidentiality while managing high-priority tasks in a fast-paced medical billing environment.

Job Requirements

Preferred

• High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or
• High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and
• Graduation from a post-high school program in medical billing or other business related field is , upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.